i am wondering how are headaches/migraines treated in your ers?
in our er docs mostly give narcotics and antiemetics. as an ex-neuro nurse i was very surprised by that, because our neurologists absolutely will not give narcs because it causes rebound headaches. upstairs we did mostly dhe protocol, caffeine, depakote, reglan loading protocol if all of the above didn't work, quiet room, icepacks, darkness, hydration and oxygen,etc.
the er docs explained to me that "we don't have time to do all that, we want to stop the pain and get the person home" (with a lortab prescription usually). none the less, the patients stay at least 4 hours even if they get narcotics, then they come back 2 days later because the pain is back and the neurologist can not see them this week.
Wow, what if I legitaminately have allergies to Daypro and Nubain (had it in an epidural, not a pretty experience at all). I might be in the ED, but I don't want to lay there wondering if that is going to happen to me! It stinks to have these headaches dictate so much of my life. It stinks so much more to be judged when I am in pain. WOW! Please do pull whatever report you have to pull, and hop to it Honey, I need some relief if I am spending my hard earned money on this ED visit.
Wow, what if I legitaminately have allergies to Daypro and Nubain (had it in an epidural, not a pretty experience at all). I might be in the ED, but I don't want to lay there wondering if that is going to happen to me! It stinks to have these headaches dictate so much of my life. It stinks so much more to be judged when I am in pain. WOW! Please do pull whatever report you have to pull, and hop to it Honey, I need some relief if I am spending my hard earned money on this ED visit.
I can not take toradol , Ibprofen and about 10 other things mostly that have sulfa I list these drugs under drug allgerys because if I where to get them it would be bad for all . there really are people that can not take toradol and more then over the counter druge that does not mean there laying and want narcs !
"Another thought for anybody allergic to more than two non-narcotic analgesics. No medicine of any kind until a complete work up to find the cause of this tragic and statistically near impossible condition. (what do you figure the odds of being allergic to toradol and tramadol?) This workup would involve two large bore iv's. An IO and an EJ if access is questionable. Hang a couple of bags ready to go, and have at bedside epi, benadryl, pepcid and solumedrol. Then, slowly give the dreaded toradol. Think of it kind of like a stress test, where the heart is pushed to it's limits, but the team is there to prevent any damage.''
star77, MSN, RN
219 Posts
1L NS, Toradol 30 mg, Benadryl 25-50 and Compazine 5-10.
OR
1L NS, Ativan 1-2mg, Benadryl 25-50 and Compazine 5-10.
Either or, depending on how bad the nausea is.